| NPI | 1871798256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 19224) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PR 19224) |
| 208D00000X General Practice (Licence: FL 1002) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2025-02-10 |